it is fundamentally different from the approach of president obama. i think health care reform should expand markets, expand competition and empower consums and patients and disempower government bureaucrats from second- guessing the decisions that are made between a patient and a doctor. what does at mean specifically? the three reforms a think would be most important would be, number one, allowing people to purchase health insurance across state lines. why is that? because that would create a true 50-state national market for low-cost catastrophic health care. part of the problem, evertime politicians say that every health plan must include the following bills and whistles and they give away all the stuff, it has the inevitable effect of driving the cost of health insurance for everybody. and one of the biggest reasons so many people in texas and nationally don't have health insurance is because it is so expensive. if we had a 250-state national market with low-cost catastrophic care, that would expand access. chris so buying across state lines woul